PTC fee per 1 child family - $30                                                   PTC use only

Party fee per add’l child - $5                                                         Check #_______  Amount $_________

x # of children ___________                                                       Cash Amount $___________________

Total:            $___________                                                        Received By _____________________

 

 P.T.C.

MEMBERSHIP FORM

2010 – 2011

Please Print

 

Family LAST Name______________________________________________________

 

Parents FIRST Name________________________ and _________________________

 

            Address           ____________________________________________________

 

                                    ____________________________________________________

 

Phone Number            (__________)_________________________________________

 

E-mail Address           ____________________________________________________

 

Please list children attending St. John the Evangelist School:

 

LAST NAME                                     FIRST NAME                                    GRADE

 

1)______________________________________________________________   ($30)

 

2)______________________________________________________________   ($35)

 

3)______________________________________________________________   ($40)

 

4)______________________________________________________________   ($45)

 

Do you wish to be listed in our school directory this year?                                     Please circle        YES         NO

 

If NO, may we list your name and child’s name without address and

phone number as part of your child’s class?                                                             Please circle        YES         NO

 

 

If you have a Business or Service you would like to advertise in the directory, please provide the following:

 

BUSINESS/SERVICE DIRECTORY INFORMATION

 

Last Name________________________________First Name__________________________________

 

Business Name_______________________________________________________________________

 

Type of Business______________________________________________________________________

 

Address_____________________________________________________________________________

 

Phone Number (_________)______________________E-mail__________________________________